Abstract：
BACKGROUND:To compare scleral buckling (SB) and pars plana vitrectomy (PPV) using a wide angle viewing system (WAVS) for uncomplicated phakic rhegmatogenous retinal detachment (RRD). METHODS:The medical records of patients with uncomplicated phakic RRD were retrospectively reviewed. Eyes with pseudophakic or attached fovea were excluded. Patients treated with SB were classified as group B, and PPV using WAVS as group V. Primary success rate, visual acuity (VA), macular complications, and sustained subretinal fluid (SRF) were compared between groups. RESULTS:Seventy-two eyes were included in group B and 57 eyes in group V. Group B had better preoperative VA (1.38 ± 0.87 vs 1.84 ± 0.97 in LogMAR, P = 0.010), but worse final VA (0.51 ± 0.48 vs 0.30 ± 0.23, P = 0.012) than group V. The primary success rate of 94.7 % in group V was higher than 77.8 % in group B (P = 0.010). Final success rate was 100 % in both groups. There was no significant difference in macular complications between groups (P = 0.087). Sustained SRF was found in 22 eyes in group B (38.6 %), while only two eyes in group V exhibited sustained SRF (2.8 %, P < 0.001). CONCLUSIONS:Pars plana vitrectomy using WAVS was more efficacious than SB for treating uncomplicated phakic RRD.
journal_name
BMC Ophthalmoljournal_title
BMC ophthalmologyauthors
Park SW,Kwon HJ,Kim HY,Byon IS,Lee JE,Oum BSdoi
10.1186/s12886-015-0109-9subject
Has Abstractpub_date
2015-09-11 00:00:00pages
121issn
1471-2415pii
10.1186/s12886-015-0109-9journal_volume
15pub_type
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